- Merck & Co. (Fort Worth, TX)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Minneapolis, MN)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Rahway, NJ)
- …set of FLEx assets, through a thoughtful and engaging tier process jointly managed with partner groups in R&D, Manufacturing, Global Safety and Environment (GSE) and ... Global Workplace and Enterprise Services (GWES).-Establishing an end-to-end mindset and value stream for...to have a minimum of twelve (12) months of service in current position prior to applying for open… more
- Beth Israel Lahey Health (Boston, MA)
- …patients and support staff to request, obtain, record, and attach primary and/or specialty care managed care referral and authorization requests for ... volume of referral and authorizations for multiple managed care payers. 3. Educates patients about... care payers. 3. Educates patients about the referral process, programs offered, and services provided… more
- Beth Israel Lahey Health (Plymouth, MA)
- …APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance ... Coordinator and Surgery Practice Manager initiate and process managed care insurance referral requests...to offer ideas, identify issues, obtain information or deliver services . **Customer Service :** Ability to provide a… more
- Centerwell (Casselberry, FL)
- …and dedicated Bilingual Referral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for ... being part of a team that focuses on excellent service to others. The Referral Coordinator schedules...**This position is Onsite** + Prepares and processes all managed care referral paperwork. +… more
- Conviva (Orange City, FL)
- …with minimal opportunity for deviation. **Job Functions** + Prepares and processes all managed care referral paperwork. + Gathers pertinent information from ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs...serve to achieve their best health - delivering the care and service they need, when they… more
- Hawaii Pacific Health (Honolulu, HI)
- …also performs additional services in collaboration with the managed care services department including referral management, patient steerage, and ... - specialize in innovative programs in women's health, pediatric care , cardiovascular services , cancer care ,...claims auditing. As the Managed Care Supervisor, you will be responsible… more
- Hawaii Pacific Health (Honolulu, HI)
- …also performs additional services in collaboration with the managed care services department including referral management, patient steerage, and ... peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location**… more
- Baylor Scott & White Health (Mckinney, TX)
- …financial effectiveness of care . Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. ... **JOB SUMMARY** Dir Comprehensive Care Management (CCM) and Support Services ...management, patient care outcomes, and other key care indicators. 7. Identifies and resolves CCM service… more
- Penn Medicine (Princeton, NJ)
- …check-out, deposit preparation, answering the phones, scheduling appointments and handling managed care , referral /precertification activities. + Responsible ... in on a timely manner. + Maintain knowledge of managed care and third party billing requirements...outside the Department, to develop means of enhancing patient care and service . + Performs work accurately,… more
- Tufts Medicine (Lawrence, MA)
- …school diploma or equivalent. 2. Two (2) years of related experience in insurance, managed care referral processes, private physician's office practice or ... 1. Bachelor's degree. 2. Three (3) years of related experience in insurance, managed care referral processes, private physician's office practice or… more
- Fenway Health (Boston, MA)
- … managed care programs + Educate patients toward proactive use of managed care companies and referral authorization process + Inform providers and ... services provided for patients Monitor and update managed care member listings and verify membership...Meet with plan representative to learn updates or pertinent referral information Provide excellent customer service +… more
- Fenway Health (Boston, MA)
- …Prepare authorizations using insurance company websites or calls to managed care companies + Obtain, distribute and document referral authorization numbers + ... monitor cancellations, expirations and changes to referrals + Track services provided to managed care ... referral information 4.Research problems related to billing services for primary care + Proactively process… more
- Robert Half Office Team (Harrisburg, PA)
- …needed to meet client service requests * Communicate effectively with clients, caregivers, referral sources and managed care organizations * Be a team ... Care clients * Deliver exceptional and compassionate customer service and problem resolutions * Source and recruit caregivers...to build and maintain strong relationships with caregivers, clients, managed care organizations and referral … more
- Dignity Health (Rancho Cordova, CA)
- …applying clinical acumen and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general ... physicians and providers throughout California to provide comprehensive health care services to the many communities we...skilled qualities that are vital to maintaining excellence in care and service . **Responsibilities** This position is… more
- HCA Healthcare (Nashville, TN)
- …fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care , home and auto repair, event ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....of our team. **Job Summary and Qualifications** The Managing Counsel- Managed Care Litigation position is a leadership… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …WA. The Regional Coordinator's responsibility is to ensure the accessibility and quality of service provided at Managed Care entry points at Sea Mar ... the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Managed Care Regional Coordinator - Posting #25771 Hourly Rate: $27.88 to… more
- AdventHealth (Altamonte Springs, FL)
- …Georgia you will need to attend to meetings** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary team. ... value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited to,… more
- Omnicell, Inc. (Grapevine, TX)
- Summary Responsible for driving revenue and referral retention by obtaining and managing OSPS PSAO, PBM contracts and providing access to all possible payors; ... Client Solutions, Information Technology, Accounting, and Finance Teams to ensure all managed pharmacies are performing at the highest level. Essential functions +… more
